Bariatrifast 30 sachets

Bariatrifast is a dietary food for special medical purposes indicated for the post-bariatric surgery diet.

Bariatric surgery
Branch of surgery that deals with surgical techniques aimed at reducing body weight and fat mass.
Mainly, bariatric surgery is divided into malabsorptive techniques and restrictive techniques.

Risks Following Bariatric Surgery
Scientific literature highlights that patients undergoing bariatric surgery are at high risk of nutritional deficiencies, especially regarding vitamins and minerals such as iron, selenium, zinc and copper.
Nutritional deficiency can lead to chronic deficiency states in subjects undergoing malabsorptive bariatric procedures.

Vitamin B12 deficiency
Vitamin B12 deficiency is a common consequence of gastric bypass due to impaired digestion of colabamin-binding proteins and decreased formation of the vitamin B12-intrinsic factor complex.
If the deficiency continues, there is a high risk of irreversible neuropathy.

Iron deficiency
Iron deficiency and anemia are the most common complications following bariatric surgery.
For this reason, an additional iron supplement of at least 45 mg per day is required, the absorption of which can be increased by the presence of vitamin C.
In cases of gastric bypass and/or other malabsorptive procedures, guidelines suggest supplementation with 65 mg of iron twice daily in association with vitamin C.

Vitamin C deficiency
Vitamin C supplementation increases intestinal iron absorption.

Folate, calcium and vitamin D deficiency
The most frequently found deficiencies in patients undergoing highly restrictive procedures (gastric banding and sleeve gastrectomy) concern, in addition to iron, folic acid, calcium and vitamin D.
It is recommended to take calcium separately as it could hinder the intestinal absorption of iron and zinc, for this reason calcium has not been included in the product.

Thiamine deficiency
Thiamine is absorbed through the proximal duodenum.
Deficiencies of this vitamin are due to a decrease in gastric acid secretion and a reduction in daily intake or are a consequence of regurgitation phenomena.

Vitamin A, E, and K deficiency
Fat-soluble vitamin deficiency following bariatric surgery is induced by bile acid deficiency.
Vitamin A deficiency, in particular, results from poor nutritional intake, malabsorption and/or impaired hepatic release of the vitamin.
As for vitamin K, its deficiency is found in 50-70% of patients within 2-4 years after surgery.
Vitamin E supplementation is necessary because its deficiency can cause anemia and peripheral neuropathy.

Selenium and copper deficiency
Nutritional anemias, following bariatric surgery procedures of malabsorption, may lead to selenium and copper deficiencies.

What are the recommendations based on consistent scientific evidence?
The qualitative and quantitative composition proposed for Bariatrifast is based on international guidelines and is specifically designed for the nutrition of subjects undergoing bariatric surgery, to integrate vitamin and trace element deficiencies, preventing any pathologies associated with such deficiencies.
It is advisable to take Bariatrifast consistently during the first year after surgery and then repeat in cycles as suggested by international guidelines.
It is recommended that the prescription be personalized by the doctor depending on the patient's clinical situation.
Furthermore, it can be indicated in all those morbid situations characterized by malabsorption problems, such as during oncological therapies.

How should it be taken?
Take one sachet per day.
Dissolve the contents of one sachet in a glass of water.
Alternatively, the contents of the sachet can be mixed into yogurt, fruit juices and/or diluted fruit.

Warnings
Bariatrifast must be used under medical supervision.
Do not exceed the recommended daily dose.
Keep out of reach of children under three years.
The product is not suitable as a sole food source.
Store in a cool, dry place.

Composition
Maltodextrin, magnesium oxide, vitamin E (DL-alpha-tocopheryl acetate), ferrous fumarate, vitamin C (L-ascorbic acid), vitamin D (cholecalciferol), vitamin B12 (cyanocobalamin), flavouring, vitamin B1 (thiamine hydrochloride), vitamin A (retinyl acetate), niacin (nicotinamide), pantothenic acid (calcium D-pantothenate), zinc oxide, copper gluconate; sweetener: sucralose; vitamin K (phylloquinone), vitamin B6 (pyridoxine hydrochloride); colouring: E101; riboflavin, folic acid (pteroyl monoglutamic acid), sodium selenite, D-biotin.

Ingredients	per 100 g	per sachet (3 g)
Energy Fats of which saturated fatty acids Carbohydrates of which sugars Fibers Proteins Salt Magnesium Iron Zinc Copper Selenium Vitamin C Vitamin E Thiamine Riboflavin Vitamin B6 Pantothenic acid Niacin Vitamin A Folic acid Biotin Vitamin B12 Vitamin D	776.85 kJ/183.4 kcal 0 g 0 g 48.39 g 4.63 g 0.39 g 0.077 g 0 g 13333.3 mg 2166.7 mg 333.3 mg 33.3 mg 1833.3 mcg 4000 mg 3333.3 mg 333.3 mg 43.3 mg 50 mg 333.3 mg 333.3 mg 40000 mcg 13333.3 mcg 1666.7 mcg 16666.7 mcg 5833.3 mcg	23.31 kJ/5.5 kcal 0 g 0 g 1.38 g 0.14 g 0.011 g 0.002 g 0 g 400 mg 65 mg 10 mg 1 mg 55 mcg 120 mg 100 mg 10 mg 1.3 mg 1.5 mg 10 mg 10 mg 1200 mcg 400 mcg 50 mcg 500 mcg 175 mcg

Format
Pack of 30 sachets of 3 g each.
Net weight: 90 g